Purpose:
The study describes patients who underwent enucleations and eviscerations in an East Asian hospital from 2001 to 2009, in particular patient demographics, indications for surgery, as well as complications from surgery.
Methods:
All cases that underwent enucleations or eviscerations from 2001-09 in National University Hospital, Singapore were retrospectively analysed via patient casenotes. Data analysed included patient demographics (age, sex, ethnicity), indications for surgery and complications (intraop complications, early post-op complications defined as <2 wks post-op, intermediate post-op complications defined as 2 wks to 3 mths post-op and late post-op complications defined as >3 mths post-op).
Results:
A total of 49 enucleations and eviscerations were performed from 2001-09. Of these, 14 (28.6%) were eviscerations and 35(71.4%) were enucleations. Of 14 eviscerated patients, 9(64.3%) were Chinese, 2(14.3%) Malays, 2(14.3%) South Asians and 1(7.1%) Caucasian, with 5(35.7%) females and 9(64.3%) males. Age range was 22 to 77 yrs. Indications for surgery were: 9(64.3%) endopthalmitis, 2(14.3%) blind painful glaucomatous eyes, 2(14.3%) corneal perforations, 1(7.1%) pthisical eye. There were no intraoperative complications. Early post-op complications included 1(17.1%) implant exposure and 1(17.1%) orbital hemorrhage. Intermediate post-op complications included 2(14.3%) exposed implants. Late post-op complication included 2(14.3%) superior sulcus deformities, 2(14.3%) patients with ptosis, and 1(7.1%) patient with both ptosis and superior sulcus deformity. Of the 35 enucleated patients, 15(42.9%) were Chinese, 6(17.1%) Malays, 8(22.9%) South Asians, 4(11.4%) Indonesians, 2(5.7%) Vietnamese, with 19(54.3%) females and 16(45.7%) males. Ages range was 4 mths to 83 yrs. Indications for surgery were 11(31.4%) malignancies, 7(21.9%) blind painful glaucomatous eyes, 5(14.3%) globe ruptures, 7(21.9%) pthisical blind eyes, 3(8.6%) endophthalmitis cases, 1(2.9%) rudimentary globe and 1(2.9%) shrunken socket. There were no intraop or early post-op complications. Intermediate post-op complications included 1(2.9%) exposed implant and 1(2.9%) wound granuloma. Late post-op complications included 6(17.1%) patients with superior sulcus deformities, 2(5.7%) patients with ptosis, and 2(5.7%) patients with both ptosis and superior sulcus deformity, and 3(8.6%) implant exposures.
Conclusions:
A description of enucleations and eviscerations in an East Asian setting is useful to observe for unique patient demographics, indications for surgery, or complications.